Insurance and Billing Specialist

Concord Counseling Services • Westerville, OH

3h

About The Position

Concord Counseling Services is one of the most highly acclaimed, behavioral health non-profit centers in Central Ohio. Based in Westerville and founded in 1972, Concord is dedicated to healing people in mind and spirit with programs and services that change lives. The Insurance & Billing Specialist position serves as a key role in improving the overall effectiveness of revenue cycle collections for client services.

Requirements

• 5 years of experience working with third party payers preferably in community mental health environment or healthcare setting
• 3 years of experience with Excel and an electronic medical records system (EMR).
• Experience in claim processing and follow-up in a healthcare practice environment preferred.
• Knowledge of Medicare and Medicaid regulations and other insurance guidelines
• Understanding credentialing of direct service staff with third party payers

Responsibilities

• Reviews and corrects third-party claim denials and follows up to maximize cash flow
• Verifies client eligibility and estimated copays / deductibles authorizations at intake and insurance updates
• Sets up client insurance within the electronic medical records (EMR) system upon intake and updates
• Credentials new staff with payers including Medicaid, Medicare, and commercial insurance
• Responsible for creating and mailing itemized patient statements and answers clients billing questions.
• Monitor work flow and recommend process/procedural improvements as needed.
• Maintains compliance with federal, state and local regulations, HIPAA and the Corporate Responsibility Program
• Troubleshoots system insurance issues that end users may have.
• Assist with EMR infrastructure as it pertains to claim submission & payment data entry

Benefits

• Comprehensive Health Benefits: medical, dental, vision, and prescription drug coverage for peace of mind.
• Flexible spending and health savings accounts available.
• Retirement Security: Contribute to a 401(k) plan and watch your savings grow for a secured future.
• Protection Against Uncertainties: Concord paid life insurance and long-term disability ensuring financial security during unexpected challenges.
• Work-Life Balance: Enjoy ample vacation, sick and self-care time and observe 9 agency holidays to rejuvenate and spend quality time with loved ones.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 51-100 employees